Laura Borrero
Program: MSc. in Health Services Management. Universidad de Santander, Colombia
Thesis title: Determinants of access to prenatal control service among women who attended delivery care in health institutions of Floridablanca, Santander in 2017
Graduation year: 2021
Abstract
Objective: To determine the access to minimal prenatal care and associated factors in women who had delivery care in Floridablanca’s health institutions.
Methodology: A secondary analysis of cross-sectional data of live birth statistics from the Unified Registry of Affiliates, 2017 was carried out. The dependent variable was access to minimal prenatal care, defined as participating in at least 4 prenatal checkups. The sociodemographic and obstetric independent variables were classified according to the model of Aday and Andersen, 2013. The determinants of access to minimal prenatal care were evaluated using simple and multiple binary logistic regression models.
Results: In the multivariate analysis, the variables associated to access to minimal prenatal care of at least 4 prenatal checkups were the number of live births and health insurance scheme. The opportunity of meeting the recommendations of at least 4 prenatal checkups was 89% lower (OR = 0.11; 95% CI 0.02, 0.63; p = 0.013) in those women who reported between three and seven live births compared to those who had only one child born alive, and 0.73% (OR = 0.27; 95% CI 0.09; 0.75; p = 0.013) in uninsured women compared to those who belonged to the contributory or exception social insurance schemes.
Conclusion: It is recommended the implementation of a strategy that allows measuring access to prenatal care among pregnant women, to guarantee cost-effective interventions in this population of the municipality of Floridablanca.
Co-supervisors: Rocio del Pilar Martinez-Marin, Adriana Angarita-Fonseca